Vietnamese visa application form

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    30-Jul-2016

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Vietnam visa application form

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  • T KHAI NGH CP TH THC VIT NAM (1) VIETNAMESE VISA APPLICATION FORM

    (Dng cho ngi nc ngoi For foreigners)

    1- H tn (ch in hoa) : Full name (in capital letters)

    2- Gii tnh: 3- Sinh ngy : Sex Date of birth (day, month, year)

    4- Ni sinh : Place of birth

    5- Quc tch gc : 6- Quc tch hin nay:. Nationality at birth Current nationality

    7- Tn gio: 8- Ngh nghip: Religion Occupation

    9- Ni lm vic : Employer and business address:

    10- a ch thng tr: Permanent residential address:

    ......................................................................S in thoi/Email: ..................................... Telephone/Email

    11- Thn nhn (Family members):

    Quan h Relationship

    (If any)

    (3)

    H tn (ch in hoa)

    Full name

    (in capital letters)

    Gii tnh Sex

    Ngy sinh

    Date of birth

    (Day, Month,

    Year)

    Quc tch Nationality

    a ch thng tr Permanent

    residential

    address

    12- H chiu s/ giy t c gi tr thay h chiu s: Loi (4): Type Passport or International Travel Document number

    C quan cp: c gi tr n ngy Issuing authority: Expiry date (day, month, year)

    13- Ngy nhp xut cnh Vit Nam gn nht (nu c): ..................................................... Date of previous entry into Viet Nam (if any)

    14- D kin nhp cnh Vit Nam ngy ; tm tr Vit Nam . ngy Intended date of entry (Day, Month, Year) Intended length of stay in Viet Nam: days

    15- Mc ch nhp cnh: Purpose of entry

    16- D kin a ch tm tr Viet Nam Intended temporary residential address in Viet Nam (if any)

    17- C quan, t chc hoc c nhn ti Vit Nam mi, bo lnh ( nu c) Hosting organisation/ individual in Viet Nam (if any)

    - C quan, t chc: Name of hosting organization

    Photo 4*6 cm

    (standard

    passport size)

    See notes

    (2)

  • a ch: Address

    - C nhn: (h tn) ............................................................................................................ Hosting individual (full name)

    a ch.......................................................................................................................... Address

    Quan h vi bn thn .................................................................................................. Relationship to the applicant

    18- Tr em di 14 tui i cng h chiu (nu c): Accompanying child(ren) under 14 years old included in your passport (if any)

    S TT No

    H tn (chu in hoa) Full name

    (in capital letters)

    Gii tnh (sex)

    Ngy thng nm sinh

    Date of birth

    19- ngh cp th thc: mt ln nhiu ln Applying for a visa Single Multiple

    T ngy:............../......../.............n ngy:........../........../.......... Valid from (Day, Month, Year) to (Day, Month, Year)

    20- ngh khc lin quan vic cp th thc (nu c):..................................................... Other requests (if any)

    ......................................................................................................................................

    Ti xin cam oan nhng ni dung trn y l ng s tht. I declare to the best of any knowledge that all the above particular are corect.

    Lm ti: , ngy ...... thng ...nm ........... Done at date (Day, Month, Year)

    Ngi ngh (k, ghi r h tn) The applicants signature and full name

    Ghi ch/Notes:

    (1) Mi ngi khai 01 bn km theo h chiu hoc giy t i li quc t, np trc tip ti c quan i din Vit Nam nc ngoi hoc n v kim sot xut nhp cnh ti ca khu quc t ni nhn th thc. Submit in person one completed application form enclosed with passport or International Travel Document at the

    Vietnamese Diplomatic Mission abroad or at the international border checkpoint immigration office where the visa

    is issued.

    (2) Km 02 nh h chiu 4* 6 cm, phng nn trng, mt nhn thng, u trn, khng eo knh mu (01 nh dn vo t khai, 01 nh ri). Enclose 02 recently taken photo size 4* 6 cm( standard passport sized photo), with white background, front view,

    bare head, without sunglasses (one of the form and the other separate)

    (3) Ghi r b, m, v, chng, con, anh, ch, em rut (nu c). State clearly the information about parents, spouse, children and siblings (if any).

    (4) Ghi r loi h chiu ph thng, cng v, ngoi giao hoc giy t c gi tr i li quc t. Specific type of passport whether it is Ordinary, Official or Diplomatic or specify name of the International Travel

    Document.

    Photo 4* 6 cm

    (standard

    passport size)

    Photo 4*6 cm

    (standard

    passport size)

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